Physician
Acadiana Medicine Clinic, Apmc
Acadiana Medicine Clinic, Apmc was paid $691K by Medicaid between Jan 2018 and Oct 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoACADIANA MEDICINE CLINIC, APMC
OPELOUSAS, LA 70570
OPELOUSAS, LA 70570
33aNPI1245364819assigned 03/15/2007
33bProvider typePulmonary Disease Physician
28Total paid$691K
24GClaims29,014
24DCodes billed27
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Louisiana
Rank by total paid#5 of 27
Median peer was paid$69K
This provider vs. median10.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,482 | $119K | |
| 2019 | 4,365 | $95K | |
| 2020 | 5,075 | $137K | |
| 2021 | 5,194 | $153K | |
| 2022 | 4,019 | $70K | |
| 2023 | 3,356 | $71K | |
| 2024incomplete | 2,523 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 5,976 | 5,549 | $162K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 6,579 | 6,239 | $128K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 6,929 | 1,451 | $126K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15% | 1,302 | 1,229 | $104K |
| 95811 | 11% | 479 | 444 | $73K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 6.4% | 281 | 265 | $44K |
| 94060 | 1.7% | 1,111 | 1,044 | $12K | |
| 94726 | 1.4% | 1,097 | 1,047 | $9K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.3% | 2,173 | 2,073 | $9K |
| 94729 | 1.2% | 1,007 | 957 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 215 | 64 | $7K |
| 94010 | <1% | 602 | 580 | $3K |
15 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 26 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 65 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 103 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 29 | $977.52 |
| 99490 | Ccm add 20min | <1% | 91 | $155.84 |
| 99406 | <1% | 57 | $100.98 | |
| 94664 | <1% | 28 | $83.97 | |
| 90686 | <1% | 56 | $61.59 | |
| 99307 | <1% | 72 | $25.08 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 80 | $0.00 |
| 99318 | 0% | 46 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 43 | $0.00 |
| 99305 | 0% | 21 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 15 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 531 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBORDELON, JOSEPH (PRESIDENT)